Jackson, Vallery

Jackson, Vallery is an sole proprietor health care provider with primary practice located at 950 Lee St Ste 210 , Des Plaines IL 60016-6574. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jackson, Vallery can be contacted via phone (877) 486-4140.

Contact Information

Primary practice address
950 Lee St Ste 210 Des Plaines IL 60016-6574
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X BACB623750 Illinois

Profile Details

NPI number 1548866684
LBN Legal business name Jackson, Vallery
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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